Scandinavian Journal of Urology and Nephrology最新文献_第8页

Increased physical fitness among patients following endurance training during haemodialysis. 血液透析期间耐力训练后患者体能的提高。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-02-01 Epub Date: 2011-10-13 DOI: 10.3109/00365599.2011.625040

María Ragnarsdóttir, Ebba Malmberg, Emma Strandberg, Olafur S Indridason

{"title":"Increased physical fitness among patients following endurance training during haemodialysis.","authors":"María Ragnarsdóttir, Ebba Malmberg, Emma Strandberg, Olafur S Indridason","doi":"10.3109/00365599.2011.625040","DOIUrl":"https://doi.org/10.3109/00365599.2011.625040","url":null,"abstract":"Objective: The study aimed to investigate the effect of 6 months of endurance training of moderate intensity on physical performance and the risk of falling in haemodialysis patients.Material and methods: This was a prospective interventional study in which 21 of 35 eligible patients accepted to participate. The 6-minute walk test (6MWT), timed up and go (TUG), timed stand test and Romberg's test were used to evaluate physical fitness. The Borg scale was used to control the workload. The patients bicycled for 12-40 min with increasing workload according to their capabilities. Wilcoxon signed ranks and McNemar's tests were used for analysis.Results: Of the 21 participants, 12 completed 3 months of training. Their median (range) age was 69 (37-88) years, duration of dialysis was 2.5 (1-11) years and body mass index was 25.0 (20.0-31.9). Romberg's test was positive in four participants at the beginning but in three after 3 months. Nine participants completed 6 months of training; none had a positive Romberg's test at that time. Walking distance increased significantly after 3 and 6 months of training (p = 0.002 and p = 0.012, respectively), and time for the TUG decreased significantly (p = 0.041 and p = 0.044), as did time for the timed stand test (p = 0.015 and 0.018), compared with baseline values. The TUG test was in excess of 14 s in four patients at baseline but only one at the end of training.Conclusion: Endurance training of moderate intensity during dialysis results in significantly increased physical performance in haemodialysis patients.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 1","pages":"54-7"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.625040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30202935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Bilateral renal infarctions complicating fibromuscular dysplasia of renal arteries in a young male. 年轻男性双侧肾梗死并发肾动脉纤维肌肉发育不良。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-02-01 Epub Date: 2011-06-01 DOI: 10.3109/00365599.2011.578076

Belda Dursun, Baki Yagci, Mehmet Batmazoglu, Gokcen Demiray

{"title":"Bilateral renal infarctions complicating fibromuscular dysplasia of renal arteries in a young male.","authors":"Belda Dursun, Baki Yagci, Mehmet Batmazoglu, Gokcen Demiray","doi":"10.3109/00365599.2011.578076","DOIUrl":"https://doi.org/10.3109/00365599.2011.578076","url":null,"abstract":"Fibromuscular dysplasia (FMD) is an uncommon disorder, accounting for less than 10% of cases of renal artery stenosis, and typically presenting with hypertension in young women. This article reports the case of a previously healthy 37-year-old man presenting with acute-onset, severe, bilateral flank pain. Initially treated for ureteral colic and urinary tract infection, he was transferred to the nephrology clinic upon recognition of a rising serum creatinine. He was found to have FMD of bilateral renal arteries with a stenotic pattern on the right side and a dissecting aneurysm on the left side with resultant infarctions in both kidneys. On the basis of negative serological markers of vasculitis, a diagnosis of FMD complicated by bilateral renal infarctions was made. A stent was placed to the right stenotic renal artery, which resulted in sufficient lumen patency. No invasive procedure was performed on the other side owing to the complexity of the lesion. After 2.5 years of follow-up, the patient remained in good condition with normal renal function and adequate blood pressure control with dual antihypertensive therapy. Renal infarction complicating FMD of renal arteries is rare in the literature, with most of the cases having causative cardiovascular risk factors including coagulopathy, ischaemic heart disease, atrial fibrillation or structural cardiac abnormalities, none of which was present in this case. In conclusion, FMD may occur in atypical asymmetric presentations causing renal infarctions in both kidneys. Radiological interventions in such cases should focus on stabilizing renal lesions and renal function.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 1","pages":"73-7"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.578076","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30204511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 13

Effect of endocrine treatment on voiding and prostate size in men with prostate cancer: a long-term prospective study. 内分泌治疗对前列腺癌患者排尿和前列腺大小的影响:一项长期前瞻性研究。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-02-01 Epub Date: 2011-12-12 DOI: 10.3109/00365599.2011.637953

Louise L Klarskov, Peter Klarskov, Søren Mommsen, Niels Svolgaard

{"title":"Effect of endocrine treatment on voiding and prostate size in men with prostate cancer: a long-term prospective study.","authors":"Louise L Klarskov, Peter Klarskov, Søren Mommsen, Niels Svolgaard","doi":"10.3109/00365599.2011.637953","DOIUrl":"https://doi.org/10.3109/00365599.2011.637953","url":null,"abstract":"Abstract Objective. The aim of this study was to assess and quantify changes in voiding parameters and prostate size in men with prostate cancer from before the start of endocrine treatment and during long-term follow-up. Material and methods. Seventy-seven patients were recruited from three clinics and followed prospectively until death, clinical deterioration making the patient unfit for participation, or the end of the study. Median age was 74 (range 54–85) years, and the median follow-up was 18 (3–90) months. Parameters and endpoints were total score on the Danish Prostatic Symptom Score (DAN-PSS-1) questionnaire, maximum flow rate, postvoid residual volume, frequency and voided volume, and prostate volume on transrectal ultrasonography. Results. All parameters improved significantly in the range of median 13–50% within the first 12 months. The greater part of the effect occurred during the first month, and thereafter the improvement rate slowed down. Intervention for local progression was estimated on Kaplan–Meier analysis to be about 20% after 4 years. 73% had a defined prostate-specific antigen nadir after a median of 6 (1–60) months with scheduled assessments up to 72 months after the nadir. All parameters were improved before the nadir and the improvement remained during biochemical progression except for the very latest visits where few patients contributed to the analyses. Conclusions. Androgen deprivation therapy improved lower urinary tract symptoms, objective voiding parameters and prostate volume in patients with prostate cancer who were not candidates for curative treatment. The improvement was significant within the first month and clinically relevant. Despite biochemical progression the effect may last for years, and only a minority will need intervention for local progression.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 1","pages":"37-43"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.637953","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30309842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Outpatient diagnostic of bladder tumours in flexible cystoscopes: evaluation of fluorescence-guided flexible cystoscopy and bladder biopsies. 柔性膀胱镜下膀胱肿瘤的门诊诊断:荧光引导柔性膀胱镜和膀胱活检的评价。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-02-01 Epub Date: 2011-12-12 DOI: 10.3109/00365599.2011.637954

Gregers G Hermann, Karin Mogensen, Birgitte Grønkær Toft, Anders Glenthøj, Helle M Pedersen

{"title":"Outpatient diagnostic of bladder tumours in flexible cystoscopes: evaluation of fluorescence-guided flexible cystoscopy and bladder biopsies.","authors":"Gregers G Hermann, Karin Mogensen, Birgitte Grønkær Toft, Anders Glenthøj, Helle M Pedersen","doi":"10.3109/00365599.2011.637954","DOIUrl":"https://doi.org/10.3109/00365599.2011.637954","url":null,"abstract":"Objective: The aim of this study was to evaluate photodynamic diagnosis (PDD) in flexible cystoscopes and the diagnostic quality of biopsies for diagnosis of non-muscle-invasive bladder cancer in the outpatients department (OPD).Material and methods: Seventy-three patients (aged 36-91 years) with recurrent non-muscle-invasive bladder cancer and a medium to high risk of recurrence had a flexible PDD cystoscopy performed in the OPD. The bladder was first examined in standard white light followed by PDD.Results: PDD was superior to white light diagnosis; PDD was positive in 16 patients (22%) where white light showed a normal bladder mucosa. Four of these patients had bladder tumour [4/73, 6%; two carcinoma in situ (CIS), two Ta]. The diagnosis was verified by transurethral resection of the bladder tumour in the operating room. In 20 patients (20/73, 27%) PDD identified additional tumour lesions that were not identified in white light (five CIS, 15 Ta). The false-positive detection rate of PDD was 0.41. False positivity was significantly reduced by simultaneous flex biopsies disproving malignancy. Biopsies were obtained from 57 patients and diagnosis of stage and grade were possible in 55 of these (97%). In two patients (4%) the tissue material was too small for diagnostic evaluation. Biopsies from 47 patients (83%) included muscularis mucosa and from 20 patients (35%) muscularis propria. In 30 patients all but one diagnosis from the OPD was confirmed by biopsy in rigid scopes in the operating room.Conclusions: PDD-guided cystoscopy and bladder biopsy in flexible cystoscopes can be performed in an OPD setting and with reliable results for diagnosis of tumour stage Ta, CIS and T1a bladder cancer.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 1","pages":"31-6"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.637954","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30309088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 32

Ibuprofen or diclofenac is associated with more severe acute kidney injury in nephropathia epidemica. 布洛芬或双氯芬酸与肾病流行中更严重的急性肾损伤相关。

Scandinavian Journal of Urology and Nephrology Pub Date : 2012-02-01 Epub Date: 2011-10-13 DOI: 10.3109/00365599.2011.625041

Robert Wagner, Ursel Leicht-Biener, István Mucsi, Karlheinz Seitz

{"title":"Ibuprofen or diclofenac is associated with more severe acute kidney injury in nephropathia epidemica.","authors":"Robert Wagner, Ursel Leicht-Biener, István Mucsi, Karlheinz Seitz","doi":"10.3109/00365599.2011.625041","DOIUrl":"https://doi.org/10.3109/00365599.2011.625041","url":null,"abstract":"Objective: In many parts of Europe, nephropathia epidemica (NE) is an endemic zoonosis. After a flu-like prodrome, this viral disease often manifests with acute kidney injury. Use of non-steroidal anti-inflammatory drugs is discouraged during the disease, but no data from clinical investigations are available on the association between disease course and the use of analgesics.Material and methods: The charts of 59 patients admitted with NE to a hospital in 2007 were retrospectively analysed. Creatinine levels were compared between users of different analgesics.Results: Patients taking analgesics before admission had higher peak creatinine levels, but not after adjustment for confounders. The subgroup taking ibuprofen or diclofenac had higher initial and peak creatinine levels than the group who did not, even after adjustment for confounders.Conclusion: Since NE cannot be accurately diagnosed in the early disease phase, metamizole, acetaminophen or acetylsalicylic acid may be preferable analgesics to ibuprofen or diclofenac for flu-like symptoms in endemic areas.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"46 1","pages":"65-9"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.625041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30056963","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Bilateral vanished testes diagnosed with a single blood sample showing very high gonadotropins (follicle-stimulating hormone and luteinizing hormone) and very low inhibin B. 双侧睾丸消失，单血样显示高促性腺激素(促卵泡激素和黄体生成素)和低抑制素B。

Scandinavian Journal of Urology and Nephrology Pub Date : 2011-12-01 Epub Date: 2011-08-19 DOI: 10.3109/00365599.2011.609833

Jorgen Thorup, Bodil Laub Petersen, Kolja Kvist, Dina Cortes

{"title":"Bilateral vanished testes diagnosed with a single blood sample showing very high gonadotropins (follicle-stimulating hormone and luteinizing hormone) and very low inhibin B.","authors":"Jorgen Thorup, Bodil Laub Petersen, Kolja Kvist, Dina Cortes","doi":"10.3109/00365599.2011.609833","DOIUrl":"https://doi.org/10.3109/00365599.2011.609833","url":null,"abstract":"Objective: In boys with cryptorchidism median serum values of follicle-stimulating hormone (FSH) and luteinizing hormone (LH) are higher and median serum values of inhibin B lower than in normal controls. Serum values of inhibin B reflect the state of germinative epithelium in cryptorchid testes. The aim of the study was to evaluate whether a simple blood sample of gonadotropins and inhibin B could diagnose bilateral vanished testes.Material and methods: Group I included five boys (4 months to 6 years and 3 months old) with bilateral vanished testes at laparoscopy. Group II included 82 boys with bilateral cryptorchidism younger than 7 years of age at surgery for bilateral cryptorchidism (median age 1 year and 9 months).Results: The serum levels of hormones for the patients with vanished testes were: inhibin B 5?18 pg/ml, FSH 41-191 IU/l and LH 3.9?56 IU/l. The patients all had karyotype 46,xy. The serum levels of hormones from group II were: inhibin B median 122 (range 20?404) pg/ml, FSH median 0.8 (range 0.2?3.5) IU/l and LH median 0.2 (range 0.1-3.2) IU/l. The serum levels of inhibin B, FSH and LH from the boys with vanished testes were significantly different from the serum levels of the boys with bilateral cryptorchidism (p = 0.0026, p < 0.0001 and p < 0.0001, respectively).Conclusions: The serum values of gonadotropins and inhibin B from boys with bilateral vanished testes were significantly different from those of bilateral cryptorchid boys, indicating no germinative epithelium, no Sertoli cells and compensatory high gonadotropins. If such abnormal serum values are obtained from boys with bilateral non-palpable testes, tubular tissue is not present and surgery can be avoided.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"45 6","pages":"425-31"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.609833","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30087950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Actinobaculum schaalii in urological patients, screened with real-time polymerase chain reaction. 用实时聚合酶链反应筛选泌尿科患者中的沙利放线菌。

Scandinavian Journal of Urology and Nephrology Pub Date : 2011-12-01 Epub Date: 2011-07-19 DOI: 10.3109/00365599.2011.599333

Steffen Bank, Thomas Michael Hansen, Karen Marie Søby, Lars Lund, Jøgen Prag

{"title":"Actinobaculum schaalii in urological patients, screened with real-time polymerase chain reaction.","authors":"Steffen Bank, Thomas Michael Hansen, Karen Marie Søby, Lars Lund, Jøgen Prag","doi":"10.3109/00365599.2011.599333","DOIUrl":"https://doi.org/10.3109/00365599.2011.599333","url":null,"abstract":"Objective: Actinobaculum schaalii can cause urinary tract infections (UTIs) and occasionally septic complications. It is a carbon dioxide-requiring Gram-positive rod which is overlooked if urine is cultured in ambient air or if there is growth of conventional species. This study aimed to find the frequency of A. schaalii in consecutive cohorts of patients with kidney stones, children with suspected UTI and patients with indwelling catheters.Material and methods: A quantitative real-time polymerase chain reaction (PCR) assay was used to screen consecutive urine samples from of 76 patients with kidney stones, 29 children and 37 with different indwelling catheters.Results: In patients with kidney stones, A. schaalii was found in seven (29%) of the 24 leucocyte esterase stix-positive urines, which was twice as often as in the stix-negative urines (p = 0.22), and in five (36%) of 14 children less than 3 years old but not in 15 children 3?15 years old (p = 0.02). The eight catheterized patients with A. schaalii (22%) were elderly and half had comorbidities. In the patients where A. schaalii was found, other uropathogens were found from five of the 15 patients with kidney stones, one of the five children and seven of the eight with an indwelling catheter.Conclusion: Actinobaculum schaalii is common among elderly people with suspected UTI and may be clinically significant, when found alone or together with other bacteria, among children and patients treated for kidney stones.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"45 6","pages":"406-10"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.599333","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29869710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

Determination of sleep quality and fatigue level of patients receiving continuous ambulatory peritoneal dialysis in Turkey. 土耳其接受连续动态腹膜透析患者的睡眠质量和疲劳水平的测定。

Scandinavian Journal of Urology and Nephrology Pub Date : 2011-12-01 Epub Date: 2011-05-27 DOI: 10.3109/00365599.2011.585623

I Cantekin, M Tan

{"title":"Determination of sleep quality and fatigue level of patients receiving continuous ambulatory peritoneal dialysis in Turkey.","authors":"I Cantekin, M Tan","doi":"10.3109/00365599.2011.585623","DOIUrl":"https://doi.org/10.3109/00365599.2011.585623","url":null,"abstract":"Objective: This descriptive study was performed to determine sleep quality, fatigue levels and related factors in patients receiving continuous ambulatory peritoneal dialysis (CAPD) treatment, as well as the effect of their sleep quality on fatigue.Material and methods: Study data were accrued at the CAPD unit of a University Hospital nephrology service between 1 Marchand 30 June 30. Questionnaire forms, Pittsburgh Sleep Quality Indexand Piper Fatigue Scalewere used for data collection. Mann-Whitney U test, Kruskal-Wallis variance analysis, ttest, one-way analysis of variance and Pearson correlation coefficient for independent groups were used for the evaluation of data.Results: Mean total fatigue and sleep quality scores (±1 SD) were 6.38 ± 2.18 and 8.17 ± 3.02, respectively. Patients in the study had severe fatigue and low sleep quality.Conclusions: Fatigue, sleep quality and related factors were determined in patients receiving peritoneal dialysis. The results of this study will be helpful in guiding future nursing methods for CAPD patients who experience fatigue and sleep problems.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"45 6","pages":"452-60"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.585623","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29896648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Incidence of occult lymph-node metastasis missed by standard pathological examination in patients with bladder cancer undergoing radical cystectomy. 膀胱癌根治性膀胱切除术患者标准病理检查未发现隐匿淋巴结转移的发生率。

Scandinavian Journal of Urology and Nephrology Pub Date : 2011-12-01 Epub Date: 2011-07-19 DOI: 10.3109/00365599.2011.599336

Jørgen Bjerggaard Jensen, Søren Høyer, Klaus Møller-Ernst Jensen

{"title":"Incidence of occult lymph-node metastasis missed by standard pathological examination in patients with bladder cancer undergoing radical cystectomy.","authors":"Jørgen Bjerggaard Jensen, Søren Høyer, Klaus Møller-Ernst Jensen","doi":"10.3109/00365599.2011.599336","DOIUrl":"https://doi.org/10.3109/00365599.2011.599336","url":null,"abstract":"Objective: The aim was to conduct an exploratory study of the ability of standard pathological examination (SPE) of lymph nodes (LNs) to detect metastasis in LN specimens from patients with bladder cancer undergoing radical cystectomy (RC).Material and methods: From a cystectomy database, 10 LN-negative patients with invasive bladder cancer were randomly selected based on their Tstage (two T1, four T2 and four T3). LN specimens were step sectioned and stained by immunohistochemistry to identify occult metastases missed by the SPE.Results: In total, 173 LNs negative by SPE were investigated. Metastasis was identified in one LN in one patient with non-organ-confined disease. No other positive LNs were found. Thus, SPE had a negative predictive value of 99.4% per LN (95% confidence interval CI96.8?99.99%) in this small series.Conclusions: Occult nodal metastasis can be overlooked by SPE in a minority of patients undergoing RC because of bladder cancer. This is presumably more likely in patients with non-organ-confined tumours because of a higher risk of LN metastasis in this patient category. Therefore, the importance of a thorough LN dissection in presumably LN-negative patients is emphasized. However, the number of patients in the present study is too low for conclusions to be drawn regarding the true frequency of occult LN metastases.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"45 6","pages":"419-24"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.599336","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29869709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

A prospective registration of catheter life and catheter interventions in patients with long-term indwelling urinary catheters. 长期留置导尿管患者的导尿管寿命和导尿管干预的前瞻性登记。

Scandinavian Journal of Urology and Nephrology Pub Date : 2011-12-01 Epub Date: 2011-08-05 DOI: 10.3109/00365599.2011.590998

Karin Jonsson, Anna-Lena E-Son Loft, Salmir Nasic, Hans Hedelin

{"title":"A prospective registration of catheter life and catheter interventions in patients with long-term indwelling urinary catheters.","authors":"Karin Jonsson, Anna-Lena E-Son Loft, Salmir Nasic, Hans Hedelin","doi":"10.3109/00365599.2011.590998","DOIUrl":"https://doi.org/10.3109/00365599.2011.590998","url":null,"abstract":"Objective: The aims of this study were to register the incidence of scheduled and acute urinary catheter changes and rinses (acute interventions) among nursing home patients, to relate the incidence of acute interventions to catheter material and time of catheterization, and to register the use of antibiotics for catheter-associated urinary tract infections.Material and methods: Catheter life and catheter-related interventions were followed prospectively for 1 year in all patients with long-term indwelling catheters in all 78 nursing homes in a county in western Sweden.Results: Altogether, 366 patients were followed: 117 (32%) women and 249 (68%) men. Acute changes (n = 718) were more common than scheduled ones (n = 519). The rate of acute interventions was not related to catheter material and was significantly lower in patients with a catheter for over 2 years. In 25% of the patients, acute interventions were virtually never necessary, in contrast to 10% where acute interventions were registered nearly every month. Antibiotic treatment for reasons assumed to be related to the urinary tract was instituted on 170 occasions among 85 men (34%) and 20 women (17%), a significant difference between the genders (p < 0.01). CONCLUSIONS; No catheter material appeared to be superior. The surprising finding that acute interventions were less common after 2 years' catheterization needs further study to be verified and explained. Only 10-25% had a more frequent need for acute interventions and are candidates for future interventional studies.","PeriodicalId":21543,"journal":{"name":"Scandinavian Journal of Urology and Nephrology","volume":"45 6","pages":"401-5"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.3109/00365599.2011.590998","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30054449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14